| NPI | 1104397488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PLACIDO CFO 413-499-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |